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SAFEWAY INC
SCH060076-00 STERLING REGIONAL MEDCENTER
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Covered Entity Details
Entity Name
STERLING REGIONAL MEDCENTER
Subdivision Name
Type
Sole Community Hospital
340B ID
SCH060076-00
Entity Address
615 FAIRHURST STREET
STERLING, CO 80751
Medicare Provider Number
060076
Participating Start Date
10/1/2018
Last Recertification Date
8/29/2023
Entity Termination Date
1/1/2024
Pharmacy Details
Pharmacy Name
SAFEWAY INC
Pharmacy Address
SAFEWAY PHARMACY #0556
601 BROADWAY
SCOTTSBLUFF, NE 69361
Pharmacy Comments
Contract Details
Approval Date
10/15/2018
Contract Begin Date
1/1/2019
Carve-In Effective Date
Contract Comments
Contract Termination Date
Termination Reason
1/1/2021
Business decision by covered entity and/or pharmacy
Contacts
Covered Entity Signing Official
DENA KLOCKMAN, CHIEF FINANCIAL OFFICER
(308) 284-7263
Contract Pharmacy Representative
SAFEWAY
Charles Hanson, 340B Program Manager
(208) 395-6304
Signed By Date
10/15/2018
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